BMJ Case Reports 2017; doi:10.1136/bcr-2017-220187
  • Unusual association of diseases/symptoms

Migration of ventriculoperitoneal shunt to urethral and rectal orifices

  1. Krishna Narahari1
  1. 1Department of Urology, University Hospital of Wales, Heath Hospital, Cardiff, UK
  2. 2Nevill Hall Hospital, Cardiff, UK
  1. Correspondence to Banan Osman, Banan_abbas{at}
  • Accepted 29 October 2017
  • Published 8 November 2017


Ventriculoperitoneal (VP) shunt surgery remains the most widely used neurosurgical procedure for the management of hydrocephalus. However, shunt complications are common and may require multiple surgical procedures during a patient’s lifetime. We report the case of a 29-year-old patient with a background of Dandy-Walker malformation, occipital encephalocele, recurrent hydrocephalus, spina bifida and epilepsy presented with VP shunt migration into urinary and gastrointestinal tracts. In absence of sepsis or peritonism from either bowel or bladder perforation, local control of stent extrusion was successful for several years, although surgery was eventually undertaken.


  • Contributors BO created first draft of manuscript and created tables and figures. SR helped write the first draft of manuscript and helped in creating figures and references. RH: editor of manuscript, supply of consent and images. KN: Initial concept, editor of manuscript.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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